1,854 research outputs found
BPS black holes, the Hesse potential, and the topological string
The Hesse potential is constructed for a class of four-dimensional N=2
supersymmetric effective actions with S- and T-duality by performing the
relevant Legendre transform by iteration. It is a function of fields that
transform under duality according to an arithmetic subgroup of the classical
dualities reflecting the monodromies of the underlying string compactification.
These transformations are not subject to corrections, unlike the
transformations of the fields that appear in the effective action which are
affected by the presence of higher-derivative couplings. The class of actions
that are considered includes those of the FHSV and the STU model. We also
consider heterotic N=4 supersymmetric compactifications. The Hesse potential,
which is equal to the free energy function for BPS black holes, is manifestly
duality invariant. Generically it can be expanded in terms of powers of the
modulus that represents the inverse topological string coupling constant,
, and its complex conjugate. The terms depending holomorphically on
are expected to correspond to the topological string partition function and
this expectation is explicitly verified in two cases. Terms proportional to
mixed powers of and are in principle present.Comment: 28 pages, LaTeX, added comment
When the Diagnosis is a Victim of the Circumstances
Introduction: Haemoptysis is a common symptom which can sometimes mimic gastrointestinal bleeding.
Case description: We describe the case of a 31-year-old man who presented to the emergency department after an episode of sudden nausea and presumed massive haematemesis. The situation was interpreted as gastrointestinal bleeding but clinical evolution and greater attention to the anamnesis resulted in a diagnosis of pulmonary tuberculosis and the provision of appropriate care.
Discussion: This report emphasizes the difficulty of differentiating between haemoptysis and haematemesis and the importance of a careful anamnesis and attention to all clinical circumstances for an accurate diagnosis.
Learning points: Haematemesis and haemoptysis are not always distinguished from each other when a patient's history is being collected.Despite being a rare manifestation of tuberculosis, in the correct epidemiological context, haemoptysis should raise the suspicion of pulmonary tuberculosis.The clinical setting and the need for immediate care should not limit clinical investigation or the differential diagnosis.info:eu-repo/semantics/publishedVersio
The development of the Quality Indicator for Rehabilitative Care (QuIRC): a measure of best practice for facilities for people with longer term mental health problems.
BACKGROUND: Despite the progress over recent decades in developing community mental health services internationally, many people still receive treatment and care in institutional settings. Those most likely to reside longest in these facilities have the most complex mental health problems and are at most risk of potential abuses of care and exploitation. This study aimed to develop an international, standardised toolkit to assess the quality of care in longer term hospital and community based mental health units, including the degree to which human rights, social inclusion and autonomy are promoted.
METHOD: The domains of care included in the toolkit were identified from a systematic literature review, international expert Delphi exercise, and review of care standards in ten European countries. The draft toolkit comprised 154 questions for unit managers. Inter-rater reliability was tested in 202 units across ten countries at different stages of deinstitutionalisation and development of community mental health services. Exploratory factor analysis was used to corroborate the allocation of items to domains. Feedback from those using the toolkit was collected about its usefulness and ease of completion.
RESULTS: The toolkit had excellent inter-rater reliability and few items with narrow spread of response. Unit managers found the content highly relevant and were able to complete it in around 90 minutes. Minimal refinement was required and the final version comprised 145 questions assessing seven domains of care.
CONCLUSIONS: Triangulation of qualitative and quantitative evidence directed the development of a robust and comprehensive international quality assessment toolkit for units in highly variable socioeconomic and political contexts
A systematic review of the international published literature relating to quality of institutional care for people with longer term mental health problems.
BACKGROUND: A proportion of people with mental health problems require longer term care in a psychiatric or social care institution. However, there are no internationally agreed quality standards for institutional care and no method to assess common care standards across countries. We aimed to identify the key components of institutional care for people with longer term mental health problems and the effectiveness of these components.
METHODS: We undertook a systematic review of the literature using comprehensive search terms in 11 electronic databases and identified 12,182 titles. We viewed 550 abstracts, reviewed 223 papers and included 110 of these. A "critical interpretative synthesis" of the evidence was used to identify domains of institutional care that are key to service users' recovery.
RESULTS: We identified eight domains of institutional care that were key to service users' recovery: living conditions; interventions for schizophrenia; physical health; restraint and seclusion; staff training and support; therapeutic relationship; autonomy and service user involvement; and clinical governance. Evidence was strongest for specific interventions for the treatment of schizophrenia (family psychoeducation, cognitive behavioural therapy (CBT) and vocational rehabilitation).
CONCLUSION: Institutions should, ideally, be community based, operate a flexible regime, maintain a low density of residents and maximise residents' privacy. For service users with a diagnosis of schizophrenia, specific interventions (CBT, family interventions involving psychoeducation, and supported employment) should be provided through integrated programmes. Restraint and seclusion should be avoided wherever possible and staff should have adequate training in de-escalation techniques. Regular staff supervision should be provided and this should support service user involvement in decision making and positive therapeutic relationships between staff and service users. There should be clear lines of clinical governance that ensure adherence to evidence-based guidelines and attention should be paid to service users' physical health through regular screening
Counting all dyons in N =4 string theory
For dyons in heterotic string theory compactified on a six-torus, with
electric charge vector Q and magnetic charge vector P, the positive integer I =
g.c.d.(Q \wedge P) is an invariant of the U-duality group. We propose the
microscopic theory for computing the spectrum of all dyons for all values of I,
generalizing earlier results that exist only for the simplest case of I=1. Our
derivation uses a combination of arguments from duality, 4d-5d lift, and a
careful analysis of fermionic zero modes. The resulting degeneracy agrees with
the black hole degeneracy for large charges and with the degeneracy of
field-theory dyons for small charges. It naturally satisfies several physical
requirements including integrality and duality invariance. As a byproduct, we
also derive the microscopic (0,4) superconformal field theory relevant for
computing the spectrum of five-dimensional Strominger-Vafa black holes in ALE
backgrounds and count the resulting degeneracies
Radiation from a D-dimensional collision of shock waves: first order perturbation theory
We study the spacetime obtained by superimposing two equal Aichelburg-Sexl
shock waves in D dimensions traveling, head-on, in opposite directions.
Considering the collision in a boosted frame, one shock becomes stronger than
the other, and a perturbative framework to compute the metric in the future of
the collision is setup. The geometry is given, in first order perturbation
theory, as an integral solution, in terms of initial data on the null surface
where the strong shock has support. We then extract the radiation emitted in
the collision by using a D-dimensional generalisation of the Landau-Lifschitz
pseudo-tensor and compute the percentage of the initial centre of mass energy
epsilon emitted as gravitational waves. In D=4 we find epsilon=25.0%, in
agreement with the result of D'Eath and Payne. As D increases, this percentage
increases monotonically, reaching 40.0% in D=10. Our result is always within
the bound obtained from apparent horizons by Penrose, in D=4, yielding 29.3%,
and Eardley and Giddings, in D> 4, which also increases monotonically with
dimension, reaching 41.2% in D=10. We also present the wave forms and provide a
physical interpretation for the observed peaks, in terms of the null generators
of the shocks.Comment: 27 pages, 11 figures; v2 some corrections, including D dependent
factor in epsilon; matches version accepted in JHE
A Standardised Procedure for Evaluating Creative Systems: Computational Creativity Evaluation Based on What it is to be Creative
Computational creativity is a flourishing research area, with a variety of creative systems being produced and developed. Creativity evaluation has not kept pace with system development with an evident lack of systematic evaluation of the creativity of these systems in the literature. This is partially due to difficulties in defining what it means for a computer to be creative; indeed, there is no consensus on this for human creativity, let alone its computational equivalent. This paper proposes a Standardised Procedure for Evaluating Creative Systems (SPECS). SPECS is a three-step process: stating what it means for a particular computational system to be creative, deriving and performing tests based on these statements. To assist this process, the paper offers a collection of key components of creativity, identified empirically from discussions of human and computational creativity. Using this approach, the SPECS methodology is demonstrated through a comparative case study evaluating computational creativity systems that improvise music
Cognitive appraisal of environmental stimuli induces emotion-like states in fish
The occurrence of emotions in non-human animals has been the focus of debate over the years. Recently, an interest in expanding this debate to non-tetrapod vertebrates and to invertebrates has emerged. Within vertebrates, the study of emotion in teleosts is particularly interesting since they represent a divergent evolutionary radiation from that of tetrapods, and thus they provide an insight into the evolution of the biological mechanisms of emotion. We report that Sea Bream exposed to stimuli that vary according to valence (positive, negative) and salience (predictable, unpredictable) exhibit different behavioural, physiological and neuromolecular states. Since according to the dimensional theory of emotion valence and salience define a two-dimensional affective space, our data can be interpreted as evidence for the occurrence of distinctive affective states in fish corresponding to each the four quadrants of the core affective space. Moreover, the fact that the same stimuli presented in a predictable vs. unpredictable way elicited different behavioural, physiological and neuromolecular states, suggests that stimulus appraisal by the individual, rather than an intrinsic characteristic of the stimulus, has triggered the observed responses. Therefore, our data supports the occurrence of emotion-like states in fish that are regulated by the individual's perception of environmental stimuli.European Commission [265957 Copewell]; Fundacao para a Ciencia e Tecnologia [SFRH/BD/80029/2011, SFRH/BPD/72952/2010]info:eu-repo/semantics/publishedVersio
Distributions of charged massive scalars and fermions from evaporating higher-dimensional black holes
A detailed numerical analysis is performed to obtain the Hawking spectrum for
charged, massive brane scalars and fermions on the approximate background of a
brane charged rotating higher-dimensional black hole constructed in
arXiv:0907.5107. We formulate the problem in terms of a "spinor-like" first
order system of differential wave equations not only for fermions, but for
scalars as well and integrate it numerically. Flux spectra are presented for
non-zero mass, charge and rotation, confirming and extending previous results
based on analytic approximations. In particular we describe an inverted charge
splitting at low energies, which is not present in four or five dimensions and
increases with the number of extra dimensions. This provides another signature
of the evaporation of higher-dimensional black holes in TeV scale gravity
scenarios.Comment: 19 pages, 6 figures, minor typos corrected, 1 page added with a
discussion on higher spins, added reference
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